


<div id="editDonorDiv">
	<form id="editDonorForm" name="editDonorForm">
		<input id="id" name="id" value="" type="hidden">
		<table>
			<tbody>
				<tr class="row">
					<td class="label">&nbsp;</td>
					<td class="input-field" colspan="2"></td>
				</tr>
				<tr class="row">
					<td colspan="2">Donor Search</td>
				</tr>

				<tr class="row">
					<td class="label">Donor Name</td>
					<td class="input-field"><input id="name" name="name"
						class="input-full-width" value="" type="text">
					</td>
					<td></td>
				</tr>
				<tr class="row">
					<td class="label">Contact Name</td>
					<td class="input-field"><input id="name" name="name"
						class="input-full-width" value="" type="text">
					</td>
					<td></td>
				</tr>
				<tr class="row">
					<td class="label">Donor City</td>
					<td class="input-field"><input id="name" name="name"
						class="input-full-width" value="" type="text">
					</td>
					<td></td>
				</tr>
				<tr class="row">
					<td class="label">Donor Country</td>
					<td class="input-field"><select id="name" name="name"
						class="input-full-width"></select>
					</td>
					<td></td>
				</tr>
				<tr class="row">
					<td colspan="2"><button type="button">Search</button>
					</td>
				</tr>
				<tr class="row">
					<td colspan="2" class="label">Return Donor Record from Query</td>
				</tr>
				<tr>
					<td><input type="checkbox">
					</td>
					<td class="input-field"><textarea id="phone" name="phone"
							class="input-full-width"></textarea>
					</td>

				</tr>
				<tr class="row">
					<td colspan="2"><button type="button">Fetch</button>
					</td>
				</tr>
				<tr>
				</tr>
				<tr>
				</tr>
				<tr class="row">
					<td class="label">&nbsp;</td>
					<td>&nbsp;</td>
				</tr>

			</tbody>
		</table>
	</form>
</div>